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General NPI Number Information
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NPI Number | 1649658865
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Entity Type | Organization
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Legal Business Name | BALANCED POINTE WELLNESS
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 2441 NW 43RD ST #3A
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City | GAINESVILLE
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State | FL
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Zip | 32606-7469
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Country | US
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Telephone | 954-628-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 SW ARCHER RD #18
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City | GAINESVILLE
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State | FL
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Zip | 32608-1812
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Country | US
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Telephone | 954-628-6514
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | DR. SHARLETTE R WINTERS
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Credential | A.P., DOM, CHT
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Telephone | 954-628-6514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2841
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License Number State | FL
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